Southern Gastroenterology& Hepatology Consultants Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

GA041589 Issued in GA

Legal business name

SOUTHERN GASTROENTEROLOGY& HEPATOLOGY CONSULTANTS INC

Practice address

300 Shirley Ave
Douglas, GA 31533-2332

Phone

(912) 384-7275

NPI assigned

Nov 14, 2007

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sudhakar Jonnalagadda, MDNPI 1043203011

Title

Officer

Phone

(912) 384-7275

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sudhakar Jonnalagadda, MD

  • Gastroenterology Physician
  • Douglas, GA
  • NPI 1043203011
  Medicare reassignment Care Compare group NPD Authorized official
• Maci Merritt, FNP-C

  • Family Nurse Practitioner
  • Ocilla, GA
  • NPI 1689110496
  Medicare reassignment Care Compare group NPD
• Farah Smith, NP-C

  • Family Nurse Practitioner
  • Douglas, GA
  • NPI 1447616461
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1336320761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SHIRLEY AVENUE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332332",
            "telephone_number": "912-384-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SHIRLEY AVE",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332332",
            "telephone_number": "912-384-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN GASTROENTEROLOGY& HEPATOLOGY CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "JONNALAGADDA",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "912-384-7275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "GA041589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "10BBCDX",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Orthopedics
• Southeastern Orthopedics
• Southern Chiropractic of Douglas, Inc. (Southern Chiropractic of Douglas)
• Southern Coastal Premier Chiropractic PC
• Southern Community Services Inc
• Southern Senior Living
• Southern Sleepers Anesthesia LLC
• Southern Speech Solutions LLC
• Heidi Allyn Spikes
• Jennifer Spivey

• Gastroenterology Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.